Organization
BLACKSTONE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY BLACKSTONE LPC, CRC (VICE PRESIDENT)
(608) 504-0641
Entity
Organization
Contact information
Practice address
2940 CHAPEL VALLEY RD STE 2, FITCHBURG, WI 53711-6451
(608) 501-3600
(608) 621-5162
Mailing address
2940 CHAPEL VALLEY RD STE 2, FITCHBURG, WI 53711-6451
(608) 504-0641
(608) 621-5162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
03/27/2024
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